Beckmann Julia, Wenzel Thomas, Hautzinger Martin, Kizilhan Jan Ilhan
Institute for Transcultural Health Science, Baden-Wuerttemberg Cooperative State University, Villingen-Schwenningen, Germany.
Department of Social Psychiatry, University of Vienna, Vienna, Austria.
Front Psychiatry. 2022 Aug 22;13:947903. doi: 10.3389/fpsyt.2022.947903. eCollection 2022.
The number of wars in the world is on the rise. A number of studies have documented the devastating impact on the public and especially public mental health. Health care systems in low- and lower-middle income countries that are frequently already challenged by the existing mental health services gap cannot provide the necessary care for those displaced by war with existing services. This is especially the case in the Kurdistan Region of Iraq (KRI) after the invasion of the terror organization ISIS in 2014. Most projects in post-conflict areas focus on short term basic psychological services and do not contribute to sustainable long-term capacity building of mental health services. An "Institute for Psychotherapy and Psychotraumatology" was therefore founded in order to train local specialists on a professional level with evidence-based methods adapted to culture and create sustainable long-term structures for psychotherapeutic treatment in the KRI. To achieve this, a number of measures were implemented, including the creation of a "Master of Advanced Studies of Psychotherapy and Psychotraumatology" in collaboration with local communities and the regional University. Two cohorts of students have successfully finished the master's program and a third cohort are expected to graduate in 2023. Improving the capacity of local health care services to provide low-barrier, professional psychotherapeutic care in post-conflict regions supported by the innovative model presented in this article can be expected to improve the burden of psychological problems and contribute to peacebuilding.
世界上战争的数量正在增加。一些研究记录了战争对公众,尤其是对公众心理健康的毁灭性影响。低收入和中低收入国家的医疗保健系统经常已经受到现有心理健康服务差距的挑战,无法为那些因战争而流离失所的人提供现有服务所需的护理。2014年恐怖组织伊斯兰国入侵后,伊拉克库尔德地区(KRI)的情况尤其如此。冲突后地区的大多数项目都侧重于短期基本心理服务,对心理健康服务的可持续长期能力建设没有帮助。因此,成立了一个“心理治疗与心理创伤研究所”,以便用适应文化的循证方法在专业层面培训当地专家,并为库尔德地区的心理治疗建立可持续的长期架构。为了实现这一目标,实施了一系列措施,包括与当地社区和地区大学合作开设“心理治疗与心理创伤高级研究硕士”课程。已有两批学生成功完成了硕士课程,第三批学生预计将于2023年毕业。通过本文提出的创新模式支持,提高当地医疗保健服务在冲突后地区提供低门槛、专业心理治疗护理的能力,有望减轻心理问题的负担,并为建设和平做出贡献。